To promote patient safety, government standards regarding mechanical and physical restraints state that:

a. alternative measures are to be implemented before restraints are used.
b. the nurse's judgment is all that is required for restraint use.
c. restraints should be used immediately for all patients who may need them.
d. restraints cannot be used except to prevent others from being harmed.


A
The use of mechanical or physical restraints must be part of the prescribed medical treatment, all less-restrictive interventions must be tried first, other disciplines must be applied, and supporting documentation must be provided. If the alternatives fail, the nurse may consider use of a restraint to prevent injury. Determine the patient's need for restraint if other less-restrictive measures fail to prevent interruption of therapy or injury to self or others. Confer with the physician or primary health care provider, who must write the order for restraints. Restraints may be needed for the confused or combative patient to prevent interruption of therapy or injury to self or others. Confer with the physician or primary health care provider.

Nursing

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